ANTONI J BANAS MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036090701

License Status

NOT RENEWED

Business

First Name

ANTONI

Middle

Last Name

BANAS

Suffix

Business Name

ANTONI J BANAS MD

Original Issue Date

05/19/1995

Effective Date

04/11/2017

Expiration Date

09/30/2020

City

BOURBONNAIS

State

Zip

60914

County

KANKAKEE

Ever Disciplined

LastModifiedDate

01/14/2021